HomeMy WebLinkAboutBuilding 02-1247
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
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ADDITION
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1 White File
2 Pink City
3. Ye\low Applicant
ZONING (ofliceuse)
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PID
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(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
o Misc.
OLower Level Finish
Lv: AJcI () v..-l S
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th! property to perform needed inspecti<?,ns. .
, ' ./~
~ /-.,.:". . -
X . ,u / ,. -<2':'- ..
Permit Valuation i9000,~
Permit Fee $ --1U" 1 '5:
Plan Check Fee $ -.
State Surcharge $ J.- ~ 'i'"
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~~
10/ 'I/o 't.---
Date
ORe-Siding
OPorch
ORe-Roofing
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
Building Official
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
.aUILDING AND INSPECTION
SITE ADDRESS /(;~4-tJ /l-/il/lI/f (7U"1/ t.-
NATURE OF WORK t-oWOl<?- ,-,157/(5 / (?ZlJ;//'ESS
USE OF BUILDING $/ 19-/~ /
PERMIT NO. ()Z/ / z._~_ ' DATE ISSUED t.0 - to 2----
CONTRACTOR F:7J 14 PHONE if:<. ::J# 7-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~.~~ ( I
L Si~"":I{'IN>(prior to Backfill) ii
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SE ~ . WAl h.111 ~['I''t!C 'e:lU p .-C/08 f/lJU) S"e:/.
INSPECTOR
DATE
\
FRAMING
INSULATION
ELECTRICAL
TO u..ll AI 0
o -~ -01-- t
pbMlJl-INe
l
~I-= alA t"C6~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
T I
FINALS
1
- -.Ikt~"rior to Sodding) d
BUILDING !7W 1...-],1-0'-/
ELECTRICAL
f'fl. _IJ!C
-. -
II"~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet-prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850